Healthcare Provider Details

I. General information

NPI: 1952246134
Provider Name (Legal Business Name): JENNIFER J BIKKAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 S MAIN ST APT B
MARSHALL NC
28753-1019
US

IV. Provider business mailing address

74 S MAIN ST APT B
MARSHALL NC
28753-1019
US

V. Phone/Fax

Practice location:
  • Phone: 404-374-4037
  • Fax:
Mailing address:
  • Phone: 404-374-4037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: